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State Report Cards

to close gaps in maternal and mental health care

State Report Cards

Providing a comprehensive view into the state of maternal mental health in America.

The U.S. has made incremental progress, with an overall grade of a C-, improving slightly from a D+ in 2024.

The report card grades states in three domains:

  1. Providers and Programs
  2. Screening and Screening Reimbursement
  3. Insurance Coverage and Treatment

Up to four points are provided for each of the 20 measures within these domains. See how your state ranks in this year’s Report Card.

View Report Cards
What Changed from Last Year
See the Measures

2025 Maternal Mental Health State Report Card

The US is failing to adequately support Maternal Mental Health:

  • National Grade of C-

  • 19 states
received D’s and F’s

  • No states earned A’s

Click around the map below to see a state’s grade or use the dropdown

You’ve Selected:

New Hampshire –

2026 Report Card

Download your state’s report card

Screening & Detection

  • Medicaid requires MCOs to report “prenatal depression screening” HEDIS measure

  • Medicaid requires MCOs to report “postpartum depression screening” HEDIS measure

  • Top performer on the “prenatal depression screening” HEDIS measure (among commercial insurance and/or Medicaid)

  • Top performer on the “postpartum depression screening” HEDIS measure (among commercial insurance and/or Medicaid)

Providers & Treatment

  • Meets ratio of MMH therapists and other non-prescribers (5 per 1,000 births)

  • Meets ratio of MMH psychiatric provider prescribers (3 per 5,000 births)

  • Has a perinatal psychiatry consultation program for OBs

  • Has at least one inpatient or residential MMH treatment program

  • Has at least one MMH intensive outpatient program (IOP) or partial hospitalization program (PHP)

  • Meets ratio of community-based organizations (CBOs) providing direct service for MMH (at least 1 per 50,000 births)

Policy & Payment

  • State Perinatal Quality Collaborative (PQC) has prioritized MMH

  • Has or has had a state-sanctioned MMH Task Force or Commission

  • Requires Medicaid/commercial health plans to develop an MMH quality management program

  • Expanded Medicaid (is an ACA Medicaid expansion state)

  • Extended Medicaid coverage to one year postpartum

  • Provides enhanced Medicaid reimbursement or state investment in group prenatal care

  • Medicaid provides reimbursement for group parenting programs (without requiring the child have a diagnosis)

  • Maternity provider prenatal MMH screening claim submission rate meets threshold (private insurance)

  • Maternity provider postpartum MMH screening claim submission rate meets threshold (private insurance)

  • Provider prenatal MMH treatment claim submission rate is at least 10% (private insurance)

  • Provider postpartum MMH treatment claim submission rate is at least 10% (private insurance)

Parental Support

  • Public paid parental leave is available

    0 points

  • Public paid parental leave is at least 12 weeks

    0 points

  • Pay during leave is 100% for the lowest income families

    0.5 points

  • Childcare availability

    0 points

  • Childcare affordability

    0 points

  • Eligibility for childcare subsidies is >=85% state median income

    0 points

Suggested Citation:

The Policy Center for Maternal Mental Health. (2024, May). Maternal Mental Health State Report Card (2024). https://www.policycentermmh.org/state-report-cards